Leukemia
Conditions
Keywords
adult acute myelomonocytic leukemia (M4), adult acute monoblastic leukemia (M5a), adult acute monocytic leukemia (M5b), adult acute myeloid leukemia in remission, adult acute myeloid leukemia with 11q23 (MLL) abnormalities, adult acute myeloid leukemia with inv(16)(p13;q22), adult acute myeloid leukemia with t(16;16)(p13;q22)
Brief summary
RATIONALE: Vaccines made from dendritic cells may help the body build an effective immune response to kill cancer cells. PURPOSE: This phase I trial is studying the side effects of vaccine therapy and to see how well it works in treating patients with acute myeloid leukemia in complete remission.
Detailed description
OBJECTIVES: Primary * Assess the tolerability of autologous dendritic cell vaccine in patients with acute myelogenous leukemia in complete remission. Secondary * Evaluate the emergence of an immune response. * Determine the relapse rate. * Assess the occurrence of residual disease. OUTLINE: Patients receive increasing doses of blastic cells transformed in vitro by autologous dendritic cells (1/3 subcutaneously and 2/3 IV) every 3 weeks for up to 5 doses.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
DISEASE CHARACTERISTICS: * Diagnosis of acute myelogenous leukemia (AML) * Myelomonocytic (M4) or monocytic (M5) subtype * In second complete remission (CR) or later following CR1 lasting ≤ 12 months after chemotherapy that may have included an intensification regimen followed by autologous transplantation * No (15;17) translocation * No AML M3 * HLA-A2 positivity * CD14 ≥ 20% on peripheral blood mononuclear cells * Circulating blasts ≥ 10 x 109/L (collected prior to chemotherapy) available * Must not be eligible for HLA-matched allogeneic transplantation * No progressive disease PATIENT CHARACTERISTICS: * Karnofsky performance status 70-100% * Not pregnant or nursing * Fertile patients must use effective contraception * No contraindication to cytopheresis or chemotherapy * No HIV or HTLV positivity * No hepatitis B or C activation * No prior psychological disease * Not deprived of liberty and able to give consent * Must be able to speak and read French * No other cancer except for basal cell or cervical PRIOR CONCURRENT THERAPY: * See Disease Characteristics * No concurrent participation in another clinical study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Adverse events at 6 months | — |
Countries
France